Application effect and value evaluation of comprehensive assessment of the elderly in personalized clinical decision-making in geriatrics
老年综合评估在老年病科个性化临床决策中的应用效果和价值评估

摘要

目的 探究老年综合评估应用于老年病科个性化临床决策的效果。方法 自2025年6月起，本院开始收集老年病科诊治的病例资料，至2026年7月共纳入842例，通过随机抽签法分为两组。一组421例进行常规诊疗管理作为参照组；一组421例在老年综合评估的基础上指导临床个性化决策干预作为实验组。对比两组并发症、生活质量等情况。结果 实验组并发症的总发生率为2.61%较参照组的13.54%显著偏低（P<0.05）。实验组在社会、环境、心理以及生理等方面的生活质量评分均较参照组显著偏高（P<0.05）。结论 老年综合评估应用于老年病科个性化临床决策中，能有效识别老年患者的多维风险因素，优化临床决策，指导老年病科个性化干预，明显降低老年患者并发症的风险，有利于生活质量的全面提升，具有较高的推广及实践价值。

Abstract

Objective To explore the effect of comprehensive evaluation of the elderly on personalized clinical decision-making in geriatrics.
Methods Starting from June 2025, our hospital began collecting case data on the diagnosis and treatment of geriatric diseases. By July 2026, a total of 842 cases were included and randomly divided into two groups by drawing lots. A group of 421 cases underwent routine diagnosis and treatment management as the reference group; A group of 421 cases were selected as the experimental group to guide clinical personalized decision-making intervention based on comprehensive evaluation of the elderly. Compare the complications and quality of life between the two groups.
Results The total incidence of complications in the experimental group was 2.61%, which was significantly lower than the 13.54% in the reference group (P<0.05). The quality of life scores of the experimental group in social, environmental, psychological, and physiological aspects were significantly higher than those of the reference group (P<0.05).
Conclusion   The application of comprehensive assessment of the elderly in personalized clinical decision-making in geriatrics can effectively identify multidimensional risk factors of elderly patients, optimize clinical decision-making, guide personalized intervention in geriatrics, significantly reduce the risk of complications in elderly patients, and promote the overall improvement of quality of life. It has high promotion and practical value.